EP2653120A3 - Handle for a medical instrument - Google Patents

Handle for a medical instrument Download PDF

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Publication number
EP2653120A3
EP2653120A3 EP13001867.4A EP13001867A EP2653120A3 EP 2653120 A3 EP2653120 A3 EP 2653120A3 EP 13001867 A EP13001867 A EP 13001867A EP 2653120 A3 EP2653120 A3 EP 2653120A3
Authority
EP
European Patent Office
Prior art keywords
coupling
medical instrument
actuating device
handle
torque
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP13001867.4A
Other languages
German (de)
French (fr)
Other versions
EP2653120B1 (en
EP2653120A2 (en
Inventor
Robin Merz
Sven Schneider
Stefan Jochen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Karl Storz SE and Co KG
Original Assignee
Karl Storz SE and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Karl Storz SE and Co KG filed Critical Karl Storz SE and Co KG
Publication of EP2653120A2 publication Critical patent/EP2653120A2/en
Publication of EP2653120A3 publication Critical patent/EP2653120A3/en
Application granted granted Critical
Publication of EP2653120B1 publication Critical patent/EP2653120B1/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16H—GEARING
    • F16H21/00—Gearings comprising primarily only links or levers, with or without slides
    • F16H21/10—Gearings comprising primarily only links or levers, with or without slides all movement being in, or parallel to, a single plane
    • F16H21/44—Gearings comprising primarily only links or levers, with or without slides all movement being in, or parallel to, a single plane for conveying or interconverting oscillating or reciprocating motions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3201—Scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2925—Pistol grips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T74/00—Machine element or mechanism
    • Y10T74/18—Mechanical movements
    • Y10T74/18888—Reciprocating to or from oscillating
    • Y10T74/1892—Lever and slide

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

Eine Handhabungseinrichtung (60) für ein medizinisches Instrument (10) umfasst einen Grundkörper (61) mit einer Kupplung (62) zur lösbaren mechanischen Verbindung mit einem proximalen Ende (31) eines Außenschafts (30), eine erste Betätigungseinrichtung (70), die relativ zum Grundkörper (61) bewegbar ist, eine zweite Betätigungseinrichtung (80), die relativ zum Grundkörper (61) bewegbar ist, eine erste Kopplungseinrichtung (74) zur Kopplung der ersten Betätigungseinrichtung (70) mit einer ersten Übertragungseinrichtung (40) zum Übertragen zumindest entweder einer Kraft oder eines Drehmoments und eine zweite Kopplungseinrichtung (84) zur Kopplung der zweiten Betätigungseinrichtung (80) mit einer zweiten Übertragungseinrichtung (50) zum Übertragen zumindest entweder einer Kraft oder eines Drehmoments. Die erste Kopplungseinrichtung (74) und die zweite Kopplungseinrichtung (84; 90) weisen jeweils eine Entkopplungsposition (79, 89) auf, in der die zugeordnete Betätigungseinrichtung (70, 80) von der zugeordneten Übertragungseinrichtung (40, 50) entkoppelt ist. Die Entkopplungspositionen (79, 89) beider Kopplungseinrichtungen (74, 84) sind nur dann erreichbar, wenn der Außenschaft (30) nicht in der für die Verwendung des medizinischen Instruments vorgesehenen Weise mit der Kupplung (62) am Grundkörper (61) verbunden ist.

Figure imgaf001
A handling device (60) for a medical instrument (10) comprises a base body (61) having a coupling (62) for releasable mechanical connection with a proximal end (31) of an outer shaft (30), a first actuating device (70) which is relative a second actuating device (80) which is movable relative to the base body (61), a first coupling device (74) for coupling the first actuating device (70) with a first transmission device (40) for transmitting at least either a force or a torque and a second coupling means (84) for coupling the second actuator (80) with a second transmission means (50) for transmitting at least one of a force and a torque. The first coupling device (74) and the second coupling device (84; 90) each have a decoupling position (79, 89) in which the associated actuating device (70, 80) is decoupled from the associated transmission device (40, 50). The decoupling positions (79, 89) of both coupling devices (74, 84) can only be achieved if the outer shaft (30) is not connected to the coupling (62) on the main body (61) in the manner intended for use with the medical instrument.
Figure imgaf001
EP13001867.4A 2012-04-18 2013-04-11 Handle for a medical instrument Active EP2653120B1 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102012007650A DE102012007650A1 (en) 2012-04-18 2012-04-18 Handling device for a medical instrument

Publications (3)

Publication Number Publication Date
EP2653120A2 EP2653120A2 (en) 2013-10-23
EP2653120A3 true EP2653120A3 (en) 2015-10-07
EP2653120B1 EP2653120B1 (en) 2020-05-27

Family

ID=48145467

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13001867.4A Active EP2653120B1 (en) 2012-04-18 2013-04-11 Handle for a medical instrument

Country Status (3)

Country Link
US (1) US10548577B2 (en)
EP (1) EP2653120B1 (en)
DE (1) DE102012007650A1 (en)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10206736B2 (en) * 2015-03-13 2019-02-19 Covidien Lp Surgical forceps with scalpel functionality
US10136910B2 (en) * 2015-11-24 2018-11-27 Ethicon Llc Surgical device with anti-binding features
DE102017102176A1 (en) 2017-02-03 2018-08-09 Aesculap Ag A surgical instrument having a release mechanism for decoupling a shaft portion from a handle
AU2018202705B2 (en) * 2017-06-02 2023-11-16 Covidien Lp Handheld electromechanical surgical system
DE102017124775A1 (en) * 2017-10-24 2019-04-25 Karl Storz Se & Co. Kg Handling device for a micro-invasive medical instrument
USD926980S1 (en) * 2019-09-13 2021-08-03 Gabriel Koros Axis rongeur
DE102021119531B4 (en) 2021-07-28 2023-10-26 Karl Storz Se & Co. Kg Surgical instrument and locking device therefor
CN116407379A (en) * 2021-12-29 2023-07-11 上海鸿脉医疗科技有限公司 Handle, conveying device and medical system
DE102022116379A1 (en) 2022-06-30 2024-01-04 Karl Storz Se & Co. Kg Surgical instrument system, surgical instrument and method for assembling and disassembling the surgical instrument
DE102023102049A1 (en) 2023-01-27 2024-08-01 Joimax Gmbh Bipolar probe, probe system and method for electrosurgical intervention

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5913874A (en) * 1997-09-25 1999-06-22 Cabot Technology Corporation Cartridge for a surgical instrument
DE19852682A1 (en) * 1998-11-16 2000-05-25 Robert Mueller Surgical instrument has guide element, operating unit, stationary and movable branch elements, compression spring, stop, slide piece and angular adjustment
US6358267B1 (en) * 1997-07-16 2002-03-19 Olympus Optical Co., Ltd. Treatment tool for operation
DE602005001056T2 (en) * 2004-01-26 2008-01-10 Steve Amherstburg Livneh Multimode surgical instrument

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5342391A (en) * 1992-10-06 1994-08-30 Linvatec Corporation Cleanable endoscopic surgical instrument
US6699244B2 (en) * 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
US7101372B2 (en) * 2001-04-06 2006-09-05 Sherwood Sevices Ag Vessel sealer and divider
WO2004112622A1 (en) * 2003-06-20 2004-12-29 Surgical Innovations V.O.F. A device for grasping and/or severing
US7717932B2 (en) * 2005-10-27 2010-05-18 Medtronic Xomed, Inc. Instrument and system for surgical cutting and evoked potential monitoring
US8852183B2 (en) * 2009-06-05 2014-10-07 Microline Surgical Inc. Scissor tip for bipolar high frequency endoscope

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6358267B1 (en) * 1997-07-16 2002-03-19 Olympus Optical Co., Ltd. Treatment tool for operation
US5913874A (en) * 1997-09-25 1999-06-22 Cabot Technology Corporation Cartridge for a surgical instrument
DE19852682A1 (en) * 1998-11-16 2000-05-25 Robert Mueller Surgical instrument has guide element, operating unit, stationary and movable branch elements, compression spring, stop, slide piece and angular adjustment
DE602005001056T2 (en) * 2004-01-26 2008-01-10 Steve Amherstburg Livneh Multimode surgical instrument

Also Published As

Publication number Publication date
US10548577B2 (en) 2020-02-04
EP2653120B1 (en) 2020-05-27
DE102012007650A1 (en) 2013-10-24
US20130304041A1 (en) 2013-11-14
EP2653120A2 (en) 2013-10-23

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